上海看守所在押人员医疗保障调查及分析.doc

上海看守所在押人员医疗保障调查及分析 　　摘 要 目的：规范看守所医疗机构设置、满足看守所在押人员基本医疗卫生需求，做好看守所医疗卫生工作，保障在押人员的合法权益。方法：采用自制调查问卷，根据番号顺序抽取本市黄浦、徐汇、长宁区等6家区级看守所关押的在押人员1 000人进行基本诊疗情况调查。结果：1 000名调查对象中，男性798人（79.8%），女性202人（20.2%）；在押人员患有基础疾病372例，高血压患者269人，占72.4%；2016年7―11月间，372位关押对象共计有1 763人次、涉及超过37种以上疾病的临时医疗就诊，平均每人接受诊治4.7次；所外就医病例中，肺结核、肝硬化及肝功能异常占12.8%、6.4%，分列第一、第二位。结论：看守所医疗卫生需求不容小视，建议以专业化思路应对看守所医疗保障，以医疗保障需求引导看守所医疗专业化建设，并开展看守所医疗保障专业化绩效监督 关键词 医疗保障；突发疾病；看守所；医疗专业化 中图分类号：R197.5 文献标志码：A 文章编号：1006-1533（2017）08-0010-04 Investigation and analysis of the medical security of jail detainees in the detention centers in Shanghai QIN Fei1， TANG Tianming2， YU Lingli2（1.Shanghai Police College， Shanghai 200137， China； 2.Health Surveillance Institute of Fengxian District， Shanghai 201499， China） ABSTRACT Objective： To standardize the specification of medical institutions to meet the basic medical and health care requirement of detainees， further complete the medical and health work of detention centers， and safeguard the legitimate rights and interests of detainees. Methods： According to the sequence number， 1 000 detainees in the Huangpu， Xuhui and Changning detention centers in Shanghai were selected and their basic diagnosis and treatment were investigated with the selfmade questionnaire. Results： In 1 000 respondents， 798 were male（79.8%） and 202 female（20.2%）. There were 372 detainees with basic diseases and 269 with hypertension， accounting for 72.4%. From July to November in 2016， 372 patients had a total of 1 763 person times that involved temporary health treatments for more than 37 kinds of diseases. The average person accepted 4.7 times of diagnosis and treatment. In the treatment outside detention center， pulmonary tuberculosis， liver cirrhosis and liver function abnormal accounted for 12.8% and 6.4%， which ranked the first and second， respectively. Conclusion： The demand for medical care in the detention centers cannot be overlooked. It is recommended that the health care in the detention center oug